DR. PAUL MICHAEL DIDOMIZIO (NPI# 1033132386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033132386 |
| Entity Type | Individual |
| Full Name | DR. PAUL MICHAEL DIDOMIZIO |
| Credential | DC |
| Practice Address |
444 Wolcott Road Wolcott CT 06716 |
| Practice Telephone | 2038794695 |
| Practice Fax Number | 2038794696 |
| Mailing Telephone | 2038794695 |
| Mailing Fax Number | 2038794696 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 525 | CT | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | BLUE CROSS | 050000525CT02 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326579491 | Paul G. Didomizio | Internal Medicine | 30 N 1900 E Rm 4c104, Salt Lake City, UT 84132-0002 | 2017-03-21 |
| Street Address |
444 WOLCOTT ROAD |
| City | WOLCOTT |
| State | CT |
| Zip Code | 06716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043792708 | Angela Holly Berry | Nurse Practitioner | 17 Tyrrell Drive, Wolcott, CT 06716 | 2018-08-29 |
| 1114315322 | Kristen Bessette | Social Worker | 5 Pembroke Hill Road, Wolcott, CT 06716 | 2014-12-23 |
| 1740325596 | Richard A Dvarskas | Dentist | 311 Woodtick Rd, Wolcott, CT 06716 | 2007-02-20 |
| 1982743092 | Frank Cucolo | Chiropractor | 250 Wolcott Rd, Wolcott, CT 06716 | 2007-02-05 |
| 1598810731 | Family Dental Care LLC | Dentist | 503 Wolcott Road, Wolcott, CT 06716 | 2007-01-25 |
| 1669402913 | Robert Alan Connors | Optometrist | 464 Wolcott Road, Wolcott, CT 06716 | 2006-07-03 |
| 1649724949 | Krista Conti | Physical Therapist | 465 Wolcott Rd, Wolcott, CT 06716 | 2016-08-04 |
| 1528427754 | Eszter Terez Peterfi | Nurse Practitioner | 503 Wolcott Rd, Wolcott, CT 06716 | 2016-02-16 |
| 1225331721 | Associates In Medicine | Internal Medicine | 464 Wolcott Road, Wolcott, CT 06716 | 2010-12-06 |
| 1710211370 | Deanna Jean Cichon Zimkus | Physician Assistant | 464 Wolcott Road, Advanced Dermatology Center, PC, Wolcott, CT 06716 | 2009-09-29 |
| Find all providers in zip 06716 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295150357 | Amanda Randall | Chiropractor | 12039 E Main St, Wolcott, NY 14590-1021 | 2014-02-26 |
| 1972717874 | Mary Ann Pawson | Chiropractor | 40 Patricia Ln, Wolcott, CT 06716-1045 | 2007-05-09 |
| 1982743092 | Frank Cucolo | Chiropractor | 250 Wolcott Rd, Wolcott, CT 06716 | 2007-02-05 |
| 1447399555 | Christine M Thorn | Chiropractor | 800 Woodtick Rd, Wolcott, CT 06716-2521 | 2007-02-05 |
| 1841300860 | Michael F Swierczynski | Chiropractor | 1627 Meriden Rd # A, Wolcott, CT 06716-3231 | 2006-08-30 |
| 1568474708 | James Michael Yadanza | Chiropractor | 11885 W Main St, Wolcott, NY 14590-1027 | 2006-08-13 |
| 1558669325 | Advanced Spine and Sports Care, L.L.C. | Chiropractor | 503 Wolcott Rd, Floor 1, Wolcott, CT 06716-2673 | 2011-03-03 |
| 1376848267 | Amir Hossein Nadimi | Chiropractor | 503 Wolcott Rd, Wolcott, CT 06716-2673 | 2011-01-24 |
| 1821308578 | Chiropractic Kinesiologists, LLC | Chiropractor | 250 Wolcott Rd, Wolcott, CT 06716-2634 | 2010-10-15 |
| 1245549633 | David Yurgaitis | Chiropractor | 800 Woodtick Rd, Wolcott, CT 06716-2521 | 2010-10-02 |
| Find all providers in WOLCOTT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.